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NPI Code Detail

MEDICARE: MR. LUCAS ANDRES RUIZ DC

MEDICARE: MR. LUCAS ANDRES RUIZ DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation Chiropractor980DCAZ

General Provider Information

NPI Number : 1033246327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LUCAS ANDRES RUIZ DC
Provider Business Mailing Address
First Line : 2701 N.7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006
Country : US
Telephone Number : 602-279-5288
Fax Number : 602-279-1202
Provider Business Practice Location Address
First Line : 2701 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-1004
Country : US
Telephone Number : 602-279-5288
Fax Number : 602-279-1202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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